Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SOUTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
Active
Organization
SOUTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA A GANGALE PA (PHYSICIAN ASSISTANT)
(631) 968-3000
Entity
Organization
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
(631) 968-3315
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
(631) 968-3315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up